Social Worker

• JOB SUMMARY: As a licensed Social Worker, we will rely on your knowledge of resources
• available in the community as well as your experience and judgment to act as a primary referral
• source to residents. You will interview, coordinate and refer residents to resources that have
• been identified and promote activities that will help the resident and, when appropriate, their
• families to meet their social and emotional needs. You must be familiar with standard concepts,
• practices and procedures within the field.

ESSENTIAL FUNCTIONS

• ? Meet with administration, medical and nursing staff and other related departments in
• planning social services
• ? Advocate daily on behalf of all residents to ensure that their rights are maintained
• ? Report abuse, neglect or exploitation per state reporting guidelines
• ? Maintain professional working rapport with facility interdisciplinary team and community
• resources/agencies
• ? Consistently abide by Social Work Code of Ethics and strive to represent Caraday
• Healthcare by exhibiting professionalism and quality work
• ? Complete Social Service History and Social Service Evaluation with newly admitted
• residents within 14 days
• ? Complete sections "B, C, D, E and Q" of MDS 3.0 as scheduled, including OBRA and
• PPS assessments
• ? Work through CAA and care plan process for each MDS area triggered
• ? Coordinate meetings and patient needs in accordance with PASRR guidelines
• ? Educate, review, and assist residents in completing Advance Directives, Medical Power
• of Attorney, and Out of Hospital Do Not Resuscitate documents
• ? Facilitate referrals to ancillary services including following up with the resident and their
• responsible party, requesting/obtaining physician orders, and copying/faxing information
• to the agency providing the service (Optometry, Audiological, Dental, Podiatry,
• Counseling, Psychiatry, Psychological testing) on behalf of the residents
• ? Educate/communicate with residents and/or responsible parties about Palliative Care vs.
• Hospice Care and assist in the referral/transition process of residents to end of life
• services and end of life decision making

2

• ? Procure prior authorization numbers for residents with Medicaid who require ambulance
• transportation to non-emergency medical appointments
• ? Assist with scheduling transportation for residents to medical appointments
• ? Prepare a Social Service review of the care plan as assigned and prior to each resident's
• care conference to assess changes/areas of need
• ? Document interactions with residents and/or responsible parties that are reflective of
• assessments performed, assistance provided and issue resolutions
• ? Discharge preparations with residents and/or responsible parties throughout stay in
• facility to culminate all community services requested/required
• ? Discharge planning on behalf of residents including requesting/obtaining appropriate
• physician orders, communication and follow up with community resources (Home Health
• Agency, Equipment Company, Primary Care Physician, Hospice Agency, CBA Agency,
• Transportation Agency, Meals on Wheels Agency, Support Groups etc.,), and copying
• pertinent information from resident's chart to forward to agencies that require it in order
• to bill for services. Preparation and review of Discharge Instructions for Care with the
• resident and responsible party. Documentation of all discharge planning. Follow up with
• resident and responsible party post discharge to ensure that resident's transition back
• into the community was as seamless as possible
• ? Prepare care plans including Advance Directives, DNR, resident personal preferences,
• and behavioral/psychosocial issues
• ? Facilitate resident room changes including five-day relocation notice, follow up with
• resident, responsible party, roommate, physician and nursing, and documentation of
• aforementioned processes
• ? Review resident's psychosocial wellbeing due to loss of a family member, friend, or
• roommate
• ? Attend Resident Council meetings only if invited by the Council members and assist in
• resolution of any issues presented
• ? Facilitate proper procedure on initiation/completion of Grievance Reports and assist in
• maintaining the facility Monthly Grievance Log
• ? Attend Performance Improvement/Quality Assurance meetings and provide quarterly
• information including all resident referrals made in last quarter, all behavioral issues
• addressed/resolved in last quarter, and tracking and trending of grievances within the
• facility during last quarter
• ? Attend Standards of Care meetings and follow up on any Social Work issues discussed
• ? Perform quarterly reviews of resident charts to ensure that assessments, documentation,
• directives, and care planning are current, consistent, and appropriate
• ? Maintain knowledge of federal and state regulations for long-term care facilities
• ? Develop and maintain a good working rapport with intra-department personnel, other
• departments within the facility, and outside community health, welfare, and social
• agencies to ensure that social service programs can be properly maintained to meet the
• needs of the patients/residents
• ? Keep up to date with current federal and state regulations as well as professional
• standards, and make recommendations on changes in policies and procedures to the
• department director or Administrator
• ? Understand and adhere to the guidelines of “Residents Rights” and assure resident
• safety

Requirements

QUALIFICATIONS

Required

? Bachelor's Degree in Social Work or a Human Services field including Sociology,

Gerontology, Special Education, Rehabilitation Counseling, and Psychology

• ? Current Social Worker license
• ? Must be a skilled communicator, director and motivator; able to organize and prioritize
• many tasks effectively
• ? Able to react to emergency situations appropriately when required

Preferred

? 2 years of experience in a long term care, hospital or other related medical facility

PHYSICAL REQUIREMENTS

• ? Ability to occasionally lift/carry 10+ pounds; visual acuity, speech and hearing; hand and
• eye coordination and manual dexterity necessary to operate a computer keyboard and
• basic office equipment.
• ? Subject to sitting, standing, reaching, walking, twisting and kneeling to perform the
• essential functions.
• WORK SCHEDULE: Monday through Friday 8-5.

WORK ENVIRONMENT: General Office

• Caraday Healthcare provides equal employment opportunities (EEO) to all employees and
• applicants for employment without regard to race, color, religion, sex, national origin, age,
• disability, genetics, or any other characteristic protected by law.